Izibuyekezo zezilungiselelo zesitoreji zingasiza izinhlangano zokunakekelwa kwezempilo ukuthi zakhe izingqalasizinda zesithombe sezokwelapha ezingcono.
U-Doug Bonderud ungumbhali owine umklomelo ongavala igebe phakathi kwengxoxo eyinkimbinkimbi phakathi kobuchwepheshe, ukusungula izinto ezintsha kanye nesimo somuntu.
Ngisho nangegagasi lokuqala le-COVID-19 ezweni lonke, ukunakekelwa okubonakalayo sekuphenduke insiza ebalulekile yokuhlinzeka ngezinsizakalo zezokwelapha ezisebenza kahle nezisebenzayo.Ngemva konyaka, izinhlelo ze-telemedicine seziyinto evamile yengqalasizinda yezokwelapha kazwelonke.
Kodwa kuzokwenzakalani ngokulandelayo?Manje, njengoba imizamo yokugoma eqhubekayo ihlinzeka ngesixazululo esinensayo nesizinzile ekucindezelekeni kobhubhane, iyiphi indima edlalwa umuthi obonakalayo?Ingabe i-telemedicine izohlala lapha, noma inani lezinsuku ohlelweni lokunakekelwa olufanele?
Ngokusho kwe-American Medical Association, akungabazeki ukuthi ngisho nangemva kokuba izimo ezibucayi sezidambile, ukunakekelwa okubonakalayo kuzohlala kusesimweni esithile.Yize cishe u-50% wabahlinzeki bezempilo besebenzisa izinsiza zokunakekelwa kwezempilo okokuqala ngqa phakathi nalolu bhubhane, ikusasa lalezi zinhlaka lingase libe ukuthuthukiswa kunokuba liphelelwe yisikhathi.
“Sithole ukuthi uma siphoqeleka ukuthi sijikelezise, singanquma kangcono ukuthi yiluphi uhlobo lokuvakasha (mathupha, ngocingo noma ukuvakasha okubonakalayo) olulungele isiguli ngasinye,” kusho i-CEO ye-CommunityHealth, isikhungo sezokwelapha samahhala esikhulu kunazo zonke saseChicago.USteph Willding uthe izikhungo zezokwelapha ezizinze kumavolontiya.“Nakuba ngokuvamile ungacabangi ngezikhungo zezempilo zamahhala njengezikhungo ezintsha, manje ukuvakasha kwethu okungu-40% kwenziwa ngevidiyo noma ngocingo.”
USusan Snedaker, oyisikhulu sezokuphepha kolwazi kanye ne-CIO yesikhashana ye-TMC HealthCare, uthe eTucson Medical Center, ukuthuthukiswa kobuchwepheshe bezokwelapha obubonakalayo kwaqala ngendlela entsha yokuvakashela iziguli.
Uthe: "Esibhedlela sethu, sivakashele ngaphakathi kwezindonga zesakhiwo ukunciphisa ukusetshenziswa kwe-PPE."“Ngenxa yezinto ezisetshenziswayo ezilinganiselwe nesikhathi sodokotela, badinga ukugqoka izinto zokuzivikela ezidingekayo (kwesinye isikhathi kuze kufike emizuzwini engama-20), ngakho-ke sithole ukuthi imibhalo yesikhathi sangempela, izixazululo zevidiyo nezingxoxo zinenani elikhulu.”
Endaweni yokunakekelwa kwezempilo yendabuko, indawo kanye nendawo kubaluleke kakhulu.Izikhungo zabahlengikazi zidinga indawo eyanele yokuhlalisa odokotela, iziguli, abasebenzi bokuphatha kanye nemishini, futhi bonke abasebenzi abadingekayo kufanele babe sendaweni eyodwa ngesikhathi esisodwa.
Ngokombono kaWilling, lolu bhubhane lunikeza ithuba izinkampani zezokunakekelwa kwempilo ukuthi “zicubungule kabusha indawo kanye nendawo yezinsiza zezempilo ezigxile ezigulini.”Indlela ye-CommunityHealth iwukwenza imodeli eyingxube ngokusungula izikhungo ze-telemedicine (noma “ama-microsites”) kulo lonke elase-Chicago.
UWilding uthe: "Lezi zikhungo zisezinhlanganweni zomphakathi ezikhona, okwenza ukuthi zisimeme ngendlela emangalisayo."“Iziguli zingeza endaweni yangakubo futhi zithole usizo lwezempilo.Abasizi bezokwelapha esizeni bangakusiza wenze izibalo ezibalulekile nokunakekelwa okuyisisekelo, futhi babeke iziguli egumbini ukuze uvakashelwe ochwepheshe.”
I-CommunityHealth ihlela ukuvula i-microsite yayo yokuqala ngo-April, ngenhloso yokuvula isiza esisha njalo ngekota.
Empeleni, izixazululo ezinjengalezi zigqamisa isidingo sokuthi izikhungo zezokwelapha ziqonde lapho zingasebenzisa khona kangcono i-telemedicine.Ku-CommunityHealth, ukudala imodeli ye-hybrid in-person/telemedicine kwenza umqondo omkhulu kumakhasimende abo.
"Ngenxa yokuthengwa kobuchwepheshe bezokunakekelwa kwempilo, ibhalansi yamandla ishintshile," kusho uSnedaker.“Umhlinzeki wezempilo usenalo uhlelo lwezikhathi, kodwa empeleni yizidingo ezidingeka kakhulu zesiguli.Ngenxa yalokho, kokubili umhlinzeki kanye nesiguli bazozuza kukho, okushayela ukwamukelwa kwezinombolo ezibalulekile.
Eqinisweni, lokhu kunqanyulwa phakathi kokunakekelwa nendawo (njengezinguquko ezintsha endaweni nendawo) kudala amathuba osizo olungavumelanisi.Akusadingeki ukuthi isiguli kanye nomhlinzeki babe sendaweni eyodwa ngesikhathi esisodwa.
Izinqubomgomo zokukhokha neziqondiso nazo ziyashintsha ngokusetshenziswa kokwelashwa okubonakalayo okuqhubekayo.Isibonelo, ngoDisemba, i-Center for Medicare and Medicaid Services yakhipha uhlu lwayo lwezinsizakalo ze-telemedicine zobhubhane lwe-COVID-19, olwakhulisa kakhulu ikhono labahlinzeki lokuhlinzeka ngokunakekelwa okudingekayo ngaphandle kokweqa isabelomali sabo.Eqinisweni, ukumbozwa okubanzi kuzivumela ukuthi zinikeze izinsizakalo ezigxile esigulini ngenkathi zisasebenza inzuzo.
Nakuba singekho isiqinisekiso sokuthi ukumbozwa kwe-CMS kuzohambisana nokukhululeka kwengcindezi yobhubhane, kumelela ukuthi izinsiza ezingavumelaniyo zinenani eliyisisekelo elifanayo njengokuvakasha komuntu mathupha, okuyisinyathelo esibalulekile esiya phambili.
Ukuthobelana nakho kuzodlala indima ebalulekile emthelela oqhubekayo wezinsizakalo zezempilo ezibonakalayo.Lokhu kunengqondo: uma isikhungo sezokwelapha siqoqa idatha yesiguli futhi siyigcina kumaseva endawo nasefwini, kuba nokugadwa okwengeziwe mayelana nokudluliswa kwedatha, ukusetshenziswa, kanye nokususwa ekugcineni.
UMnyango Wezempilo Nezinsizakalo Zabantu e-US uveze ukuthi "ngesikhathi sezimo eziphuthumayo zezempilo zomphakathi ze-COVID-19, uma izinsiza ze-telemedicine zinikezwa ukunakekelwa kwezokwelapha okuthembekile, ngeke zephule izidingo zokulawula zemithetho ye-HIPAA ngokumelene nabahlinzeki bezinsizakalo zezokwelapha ezinomshwalense."Noma kunjalo, lokhu kumiswa ngeke kuhlale unomphela, futhi izikhungo zezokwelapha kufanele zisebenzisa izindlela ezisebenzayo zobunikazi, ukufinyelela kanye nokulawula ukuphepha ukuze kuqinisekiswe ukuthi ingozi yokubuyisela ilawulwa ngaphansi kwezimo ezijwayelekile.
Uyabikezela: "Sizoqhubeka nokubona i-telemedicine nezinsizakalo zobuso nobuso."“Yize abantu abaningi bethanda ukusebenziseka kalula kwe-telemedicine, abanakho ukuxhumana nomhlinzeki.Izinsizakalo zezempilo ezibonakalayo zizoshayelwa ngezinga elithile.Babuyile, kodwa bazohlala. ”
Uthe: “Ungalokothi uchithe inkinga.”“Into enomthelela omkhulu ngalo bhubhane ukuthi udabula izithiyo ezisivimba ukuthi sicabange ngokutholwa kobuchwepheshe.Ngokuhamba kwesikhathi, sizohlala endaweni engcono.”
Isikhathi sokuthumela: Mar-15-2021